42000
CPT/HCPCSDrainage of abscess of roof of mouth
Physician Fee Schedule
Facility
Medicare Payment
$68.43
Submitted Charge$638.01
Medicare Allowed$100.70
Providers36
Beneficiaries36
Total Services36
Office
Medicare Payment
$101.12
Submitted Charge$445.70
Medicare Allowed$141.19
Providers19
Beneficiaries21
Total Services22